Data infrastructures and digital labour : the case of teleradiology

In this thesis, I investigate the effects of digitalisation in teleradiology, the practice of outsourcing radiology diagnosis, through an analysis of the role of infrastructures that enable the transfer, storage, and processing of digital medical data. Consisting of standards, code, protocols and hardware, these infrastructures contribute to the making of complex supply chains that intervene into existing labour processes and produce interdependent relations among radiologists, patients, data engineers, and auxiliary workers. My analysis focuses on three key infrastructures that facilitate teleradiology: Picture Archiving and Communication Systems (PACS), the Digital Imaging and Communication in Medicine (DICOM) standard, and the Health Level 7 (HL7) standard. PACS is a system of four interconnected components: imaging hardware, a secure network, viewing stations for reading images, and data storage facilities. All of these components use DICOM, which specifies data formats and network protocols for the transfer of data within PACS. HL7 is a standard that defines data structures for the purposes of transfer between medical information systems. My research draws on fieldwork in teleradiology companies in Sydney, Australia, and Bangalore, India, which specialise in international outsourcing of medical imaging diagnostics and provide services for hospitals in Europe, USA, and Singapore, among others. I argue that PACS, DICOM, and HL7 establish a technopolitical context that erodes boundaries between social institutions of labour management and material infrastructures of data control. This intertwining of bureaucratic and infrastructural modes of regulation gives rise to a variety of strategies deployed by companies for maximising productivity, as well as counter-strategies of workers in leveraging mobility and qualifications to their advantage

On the Use of XML in Medical Imaging Web-Based Applications

The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the Extensible Markup Language (XML) language in web-based applications that aid in diagnosis or treatment of patients, considering how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applicationsPeer ReviewedPostprint (author's final draft

Technology based Health care an Indian perspective : opportunities and challenges

Healthcare technology is in use for a decade or more in India. The use of technology in healthcare especially in public health is very common due to the recent development in Information Communication Technology. The cost of equipments in ICT in general are falling. But in healthcare, some of the equipments costs very high. Such equipments are commissioned in various locations in India. This includes some of the remote areas. The present talk is an attempt to assess the effect of such technology on the public health system. The utilisation of such systems depends on various factors. They include, costs involved in maintaining such systems, the benefits of such systems to the health personnel and the general population, what are the advantages of such systems over the traditional systems, what are the benefits of such systems on the administration, the impact on the managerial efficiency, how does the system address the HR needs in the public health, what the skills expected out of the health personnel and the general population for using such systems.IT facilitated Health, Health, Telemedicine, Telehealth, HIS

Efficient spatially-resolved multimode quantum memory

We propose a method that enables efficient storage and retrieval of a photonic excitation stored in an ensemble quantum memory consisting of Lambda-type absorbers with non-zero Stokes shift. We show that this can be used to implement a multimode quantum memory storing multiple frequency-encoded qubits in a single ensemble, and allowing their selective retrieval. The read-out scheme applies to memory setups based on both electromagnetically-induced transparency and stimulated Raman scattering, and spatially separates the output signal field from the control fields

Entanglement storage in atomic ensembles

We propose to entangle macroscopic atomic ensembles in cavity using EPR-correlated beams. We show how the field entanglement can be almost perfectly mapped onto the long-lived atomic spins associated with the ground states of the ensembles, and how it can be retrieved in the fields exiting the cavities after a variable storage time. Such a continuous variable quantum memory is of interest for manipulating entanglement in quantum networks